I have worked at Dublin Simon Detox Unit since it opened in March 2003. My previous work and studies had been in general nursing and then medical sciences. I worked in London after leaving NUI Galway in 1996, and homelessness came to my consciousness very rapidly once I had left the comfort of my native Ireland west. In my first few days in London I saw Irish that were homeless at bus stops, tube station exits, underpasses, sleeping in bins and parks.
I tried not to think about these forgotten Irish like most other Londoners and I initially felt they were ‘not my problem’. I felt that my giving a few pounds to the men I encountered on my daily tube journeys was sufficient. It wasn’t. Humans have fantastic denial systems and I did my best to use mine as I walked by the men sleeping outside St Thomas’s after my shift in A&E. I didn’t engage the homeless or speak, as I didn’t want them to hear my accent as I was ashamed. I gave plenty of money and hoped I’d feel better. I didn’t.
I felt incredibly sad and frustrated as I got to know the many homeless, and mostly Irish on my route to college. I came to realise that the Irish that arrived in London from the 1940’s to 1970’s did not fare well at all. The homeless Irish had the highest incidence of mortality and morbidity, with mental illness and suicide. They had the highest incidence of substance misuse and were the least able to access health services of all the immigrants in London. I decided to stop trying to buy my way out of the guilt I felt when faced with my countrymen on the streets.
I volunteered in Camberwell, Peckham and East Dulwich helping organise meals and social events for the Irish homeless. I started deliberately working in the area of addictions and mental health with mainly homeless patients. Each week I gained a little more insight into homelessness. I returned to Dublin soon after the millennium and saw the problems faced by the homeless here as being very similar to London.
As we opened the Dublin Simon Detox Unit in 2003, we wondered if anyone would actually use the service, unfortunately we didn’t have to wonder for too long as it became very busy. I have witnessed the wider Dublin Simon Community be an advocate, agitating, persuading, lobbying, convincing, providing, and supporting homeless men and women. The absence of a house is a terrible thing, but the absence of a home is a whole other story. It is a major issue for us all to face, especially in these times. It is not simply providing accommodation – without appropriate supports, that would only be a building.
In the Detox unit we provide the service user time to physically and mentally detoxify from alcohol or other drugs in a safe environment, and in what I hope they feel is like a “home” for the few weeks. The nursing, medical and social care offered in the detox unit is matched by the determination of the service users to free themselves from the causes of homelessness and addiction. If you know of anyone that is alcohol/substance dependant, homeless and motivated to change, get them to contact the unit 24 hours a day or send a referral to the Detox unit.